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This is VAERS ID 26660

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26660
VAERS Form:
Age:31.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-10-08
Onset:1988-10-08
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEPTAVAX / MSD - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: CHILLS, NEUROPATHY, NEURITIS OPTIC, LACRIMATION DIS, CYST

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergy, sulfa drugs
Allergies:
Diagnostic Lab Data: MRI 10/88 ranial nerve abnormality; MRI 10/88 Lt sinus cyst;
CDC 'Split Type':

Write-up: Pt vaccinated with Heptavax-B w/allergy to sulfa drugs, two hrs after vaccination began experiencing chills, hot flashes, lt-sided jaw pain, ringing in the lt ear, tearing of the lt eye, lack of taste, & drowsiness. See WORM


Changed on 12/8/2009

VAERS ID: 26660 Before After
VAERS Form:
Age:31.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-10-08
Onset:1988-10-08
Submitted:0000-00-00
Entered:1990-11-20 1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Cyst, Facial palsy, Neuropathy, Optic neuritis, Pain, Paraesthesia, Tinnitus, Vasodilatation, Paraesthesia oral, Lacrimal disorder, CHILLS, NEUROPATHY, NEURITIS OPTIC, LACRIMATION DIS, CYST

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergy, sulfa drugs
Allergies:
Diagnostic Lab Data: MRI 10/88 ranial nerve abnormality; MRI 10/88 Lt sinus cyst;
CDC 'Split Type': (blank) WAES90040706

Write-up: Pt vaccinated with Heptavax-B w/allergy to sulfa drugs, two hrs after vaccination began experiencing chills, hot flashes, lt-sided jaw pain, ringing in the lt ear, tearing of the lt eye, lack of taste, & drowsiness. See WORM


Changed on 8/31/2010

VAERS ID: 26660 Before After
VAERS Form:
Age:31.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-10-08
Onset:1988-10-08
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Cyst, Facial palsy, Neuropathy, Optic neuritis, Pain, Paraesthesia, Tinnitus, Vasodilatation, Paraesthesia oral, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergy, sulfa drugs
Allergies:
Diagnostic Lab Data: MRI 10/88 ranial nerve abnormality; MRI 10/88 Lt sinus cyst;
CDC 'Split Type': WAES90040706

Write-up: Pt vaccinated with Heptavax-B w/allergy to sulfa drugs, two hrs after vaccination began experiencing chills, hot flashes, lt-sided jaw pain, ringing in the lt ear, tearing of the lt eye, lack of taste, & drowsiness. See WORM


Changed on 9/14/2017

VAERS ID: 26660 Before After
VAERS Form:(blank) 1
Age:31.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-10-08
Onset:1988-10-08
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Cyst, Facial palsy, Neuropathy, Optic neuritis, Pain, Paraesthesia, Tinnitus, Vasodilatation, Paraesthesia oral, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergy, sulfa drugs
Allergies:
Diagnostic Lab Data: MRI 10/88 ranial nerve abnormality; MRI 10/88 Lt sinus cyst;
CDC 'Split Type': WAES90040706

Write-up: Pt vaccinated with Heptavax-B w/allergy to sulfa drugs, two hrs after vaccination began experiencing chills, hot flashes, lt-sided jaw pain, ringing in the lt ear, tearing of the lt eye, lack of taste, & drowsiness. See WORM


Changed on 2/14/2018

VAERS ID: 26660 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-10-08
Onset:1988-10-08
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Cyst, Facial palsy, Neuropathy, Optic neuritis, Pain, Paraesthesia, Tinnitus, Vasodilatation, Paraesthesia oral, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergy, sulfa drugs
Allergies:
Diagnostic Lab Data: MRI 10/88 ranial nerve abnormality; MRI 10/88 Lt sinus cyst;
CDC 'Split Type': WAES90040706

Write-up: Pt vaccinated with Heptavax-B w/allergy to sulfa drugs, two hrs after vaccination began experiencing chills, hot flashes, lt-sided jaw pain, ringing in the lt ear, tearing of the lt eye, lack of taste, & drowsiness. See WORM


Changed on 6/14/2018

VAERS ID: 26660 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-10-08
Onset:1988-10-08
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Cyst, Facial palsy, Neuropathy, Optic neuritis, Pain, Paraesthesia, Tinnitus, Vasodilatation, Paraesthesia oral, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergy, sulfa drugs
Allergies:
Diagnostic Lab Data: MRI 10/88 ranial nerve abnormality; MRI 10/88 Lt sinus cyst;
CDC 'Split Type': WAES90040706

Write-up: Pt vaccinated with Heptavax-B w/allergy to sulfa drugs, two hrs after vaccination began experiencing chills, hot flashes, lt-sided jaw pain, ringing in the lt ear, tearing of the lt eye, lack of taste, & drowsiness. See WORM


Changed on 8/14/2018

VAERS ID: 26660 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-10-08
Onset:1988-10-08
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Cyst, Facial palsy, Neuropathy, Optic neuritis, Pain, Paraesthesia, Tinnitus, Vasodilatation, Paraesthesia oral, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergy, sulfa drugs
Allergies:
Diagnostic Lab Data: MRI 10/88 ranial nerve abnormality; MRI 10/88 Lt sinus cyst;
CDC 'Split Type': WAES90040706

Write-up: Pt vaccinated with Heptavax-B w/allergy to sulfa drugs, two hrs after vaccination began experiencing chills, hot flashes, lt-sided jaw pain, ringing in the lt ear, tearing of the lt eye, lack of taste, & drowsiness. See WORM


Changed on 9/14/2018

VAERS ID: 26660 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-10-08
Onset:1988-10-08
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Cyst, Facial palsy, Neuropathy, Optic neuritis, Pain, Paraesthesia, Tinnitus, Vasodilatation, Paraesthesia oral, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergy, sulfa drugs
Allergies:
Diagnostic Lab Data: MRI 10/88 ranial nerve abnormality; MRI 10/88 Lt sinus cyst;
CDC 'Split Type': WAES90040706

Write-up: Pt vaccinated with Heptavax-B w/allergy to sulfa drugs, two hrs after vaccination began experiencing chills, hot flashes, lt-sided jaw pain, ringing in the lt ear, tearing of the lt eye, lack of taste, & drowsiness. See WORM


Changed on 10/14/2018

VAERS ID: 26660 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-10-08
Onset:1988-10-08
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Cyst, Facial palsy, Neuropathy, Optic neuritis, Pain, Paraesthesia, Tinnitus, Vasodilatation, Paraesthesia oral, Lacrimal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergy, sulfa drugs
Allergies:
Diagnostic Lab Data: MRI 10/88 ranial nerve abnormality; MRI 10/88 Lt sinus cyst;
CDC 'Split Type': WAES90040706

Write-up: Pt vaccinated with Heptavax-B w/allergy to sulfa drugs, two hrs after vaccination began experiencing chills, hot flashes, lt-sided jaw pain, ringing in the lt ear, tearing of the lt eye, lack of taste, & drowsiness. See WORM

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